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AHP PCPs participating in the network’s gain-sharing contracts can expect their third-quarter clinical integration payments to arrive in the mail in third week of December. Both AHP’s Excellus and MVP contracts provide for upfront payments to PCPs that support their efforts in meeting the quality goals that trigger gain sharing when we meet financial targets….

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Wound Assessment Descriptors

Refer to these definitions and descriptors as you complete the Essential Assessment Questions

Home Care Referral Considerations

Things to keep in mind:

The patient’s insurance dictates what homecare can provide and must follow regulations for payment

Wound care needs to be skilled, medically necessary and medically appropriate according to evidence-based best practice needing nursing oversight

Specific examples of non-skilled wound care include:

Applying topical ointment

Dry dressing only

Wet to dry dressings

Application of pressure wraps with no open wounds

To provide comprehensive care, please notify any other physician active in patient care of your referral to homecare

Insurance considerations:

Medicare/Medicare HMO patient must be homebound (trouble leaving home without help [e.g., using a cane, wheelchair, walker, or crutches]; needing special transportation; or requiring help from another person) because of an illness or injury, or leaving home isn't recommended because of condition, normally unable to leave home because it's a major effort